Individual provider Active NPI

Anna Metz Lutz, MPH, RD, LDN, CEDRD

  • Registered Dietitian
  • Raleigh, NC
National Provider Identifier
1497281117
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L002702 Issued in NC
Practice address
4000 Blue Ridge Rd
Suite 140
Raleigh, NC 27612-4650
Phone
(919) 781-4500
Fax
(919) 781-4504
NPI assigned
May 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X L002702 NC Primary

Addresses

Primary practice location

4000 Blue Ridge Rd
Suite 140
Raleigh, NC 27612-4650

Mailing address

4000 Blue Ridge Rd
Suite 140
Raleigh, NC 27612-4650
Phone (919) 781-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 20, 2017 through Apr 20, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L002702NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Lutz & Alexander Nutrition Therapy Dietitian, Registered Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1497281117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 BLUE RIDGE RD",
            "address_2": "SUITE 140",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276124650",
            "telephone_number": "919-781-4500",
            "fax_number": "919-781-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 BLUE RIDGE RD",
            "address_2": "SUITE 140",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276124650",
            "telephone_number": "919-781-4500",
            "fax_number": "919-781-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZ",
        "first_name": "ANNA",
        "middle_name": "METZ",
        "credential": "MPH, RD, LDN, CEDRD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L002702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.